Individual
DR. JOHN J BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 RIDGE AVE, SUITE 104, EVANSTON, IL 60201-2455
(847) 328-2020
Mailing address
1138 JEFFREY CT W, NORTHBROOK, IL 60062-4615
(847) 509-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36043033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281300001
DMERC
IL
Enumeration date
07/31/2006
Last updated
07/08/2007
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